Personal Information: First Name Last Name Street Address 1 City State Zip Code Home Phone Mobile Phone Email (Primary) Primary Contact Home Phone Work Phone Mobile Phone Fax Email (primary) Email (secondary) Time to Contact Morning Afternoon Evening Weekends How would you describe your buying intentions? Plan to own within the next 1-6 months Plan to own within the next 7-12 months Plan to own within the next year or more Just looking but may buy Just looking and don't plan to buy How did you learn of this community? Mailer Friend/Relative Referral Radio/TV Drive By Newspaper Real Estate Agent Signage/billboard/bootleg Web Please select at least one. What is your reason for moving? Job transfer Marriage Need more space Don't want to rent anymore Like the community/school district Family in area Please select one. What is the most desired feature in your new home? In what other new home communities are you looking? Do you own or rent? Own Rent Please select one. If you own a home, is your current home for sale now? No Yes Please select one. What is your price range? Less than $100,000 $100,000 - $125,000 $125,000 - $150,000 $150,000 - $200,000 $200,000 - $250,000 $250,000 - $300,000 $300,000 - $400,000 Greater than $400,000 Please select one. Select project(s) you are interested in Country Faire At least one project must be selected.
